<%@include file='head.jsp'%>

<body>
<div id="page" class="shell">
	<%@include file="menu.jsp" %>
	
	<!-- Main -->
	<div id="main" class="main-cadastro">
	
			<div class="cadastro">
				<h2>Pagamento de Consertos</h2>
				<form action="#" method="post" data-validate="parsley" id="cadastro">
					<div class="field-holder pad">
						<label for="pedId">Num. Pedido:</label>
						<select name="pedId" id="pedId">
							<option value="">Selecione</option>
							<option value="">0001</option>
							<option value="">0002</option>
							<option value="">0003</option>
							<option value="">0004</option>
						</select>
					</div>
					<div>
						<button id="submit" class="submit" type="submit"><i class='icon-ok'></i>Confirma Pagamento</button>
					</div>
					<div class="cl">&nbsp;</div>
				</form>
			</div>
			
	</div>
	<!-- END Main -->

	<%@include file="footer.jsp" %>
	
	<br />
</div>
</body>
</html>
